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Article ; Online: Cytopathology practice during the COVID-19 postlockdown: An Italian experience.

Vigliar, Elena / Cepurnaite, Rima / Iaccarino, Antonino / Pisapia, Pasquale / De Luca, Caterina / Malapelle, Umberto / Bellevicine, Claudio / Troncone, Giancarlo

Cancer cytopathology

2021  Volume 129, Issue 7, Page(s) 548–554

Abstract: ... provide data on the lasting impact of COVID-19 on cytopathology practice during the initial phases ... Background: During the current coronavirus disease 2019 (COVID-19) pandemic, the cytopathology ... sample workload during the postlockdown period still represents an ongoing effect of the COVID-19 ...

Abstract Background: During the current coronavirus disease 2019 (COVID-19) pandemic, the cytopathology workload has decreased remarkably worldwide as all screening and elective procedures have been postponed to prioritize the clinical management of patients at high oncological risk. In the current study, the authors provide data on the lasting impact of COVID-19 on cytopathology practice during the initial phases of the Italian postlockdown period.
Methods: The percentages of the cytological sample types processed at the University of Naples Federico II during the first 12 weeks of the Italian postlockdown period were compared with those of the same period in 2019. The study period was divided into four 3-week periods. Differences in the rates of malignant diagnoses were also assessed.
Results: During the 12-week study period, the overall cytological sample workload decreased by 41.6% in comparison with 2019. In particular, the workload significantly declined for each sample type: Pap smears, -33.3%; urine, -42.8%; serous fluids, -14.4%; thyroid, -54.5%; breast, -43%; lymph node, -27.3%; and salivary gland, -61%. By contrast, the overall malignancy rate was significantly increased (P = .0011).
Conclusions: The reduction in the cytological sample workload during the postlockdown period still represents an ongoing effect of the COVID-19 pandemic. On the other hand, the rise in the overall malignancy rate reflects the importance of prioritizing diagnostic procedures for patients at high oncological risk.
MeSH term(s) Biopsy, Fine-Needle/statistics & numerical data ; Breast/pathology ; COVID-19/epidemiology ; Cytodiagnosis/statistics & numerical data ; Humans ; Lymph Nodes/pathology ; Neoplasms/epidemiology ; SARS-CoV-2 ; Salivary Glands ; Thyroid Gland ; Workload
Language English
Publishing date 2021-02-17
Publishing country United States
Document type Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID 2594979-2
ISSN 1934-6638 ; 1934-662X
ISSN (online) 1934-6638
ISSN 1934-662X
DOI 10.1002/cncy.22416
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Zs.A 6893: Show issues Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)
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